Shoulder Pain
Conditions
Keywords
post laparoscopic shoulder pain, active suction, lavage and suction, right shoulder pain, post operative shoulder pain
Brief summary
The use of laparoscopy in gynecologic surgery has been well established to decrease morbidity, blood loss, hospital stay, and post-operative pain when compared to traditional open abdominal surgery. However, the laparoscopic technique is associated with post-operative shoulder pain. We hypothesize that a combination of intraperitoneal saline lavage and active suction removal of carbon dioxide gas from the right upper quadrant of the abdomen will decrease incidence of post-laparoscopic shoulder pain when compared to passive exsufflation of carbon dioxide gas.
Interventions
PROCEDUREActive lavage and suction
Active lavage and suction of the right upper quadrant will be performed as the laparoscopic procedure is about to be terminated.
Sponsors
University of Tennessee
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 75 Years
Healthy volunteers
Yes
Inclusion criteria
* English speaking patient * Female * Age 18-75 * must undergo laparoscopic surgery * willing to participate in the study
Exclusion criteria
* Male patients * Under 18 or older than 75 * Laparoscopic procedures that get converted to laparotomy * Intraoperative hemorrhage more than 500 cc * Patients with active joint disease * History of shoulder surgery * Intraoperative laceration to the liver * Malignancy * Long term daily narcotic use * Chronic right upper quadrant/ shoulder pain * Pregnancy * History of dementia, Alzheimers, stroke or other condition causing altered mental status
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Score | 12 hours | We will assess pain scores based on visual analog score from 1-10 at 12 hours postoperatively. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| operative time | 24 hours | We will assess how long each surgery takes to complete. |
| blood loss | 6 hours | We will assess intraoperative blood loss. |
| analgesic use | 7 days | We will assess total analgesic, iv and oral used over the course of 7 days postoperatively. |
| Anti emetic use | 48 hours | Total amount of intravenous and oral narcotic used postoperatively. |
Countries
United States
Contacts
Primary ContactMaryam Hadiashar, MD
Outcome results
None listed